Ep:204 THE DAWN EFFECT. EVERYTHING YOU NEED TO KNOW - by Robert Cywes

[@Rich_G22]

So glad I found you online. None of my docs could explain the dawn effect. They just gave me another medicine to add to my regimen. Used to be in low 220’s after waking. After 2 months of keto and listening to Dr Cywes and Dr Berry, I am consistently in high 90’s or at round 110. Never higher.

[@dorothywalker5411]

I get that Dawn effect and I walk fast 30 to 40min drops glucose level 10 to 20 points right away. I’m 73 and no meds A1C in 5s. Thank You!!

[@sharkair2839]

this is the best channel on the internet.

[@gabardjean-paul3779]

The best teacher

[@robertcywes2966]

🙂🧠👍

[@suethompson2969]

I agree. Between Dr. Cywes, and Dr. Berry, I have completely re-learned what I was taught. Now I am on my way to much better health. I would probably be dead without these 2.

[@billaustin2216]

This guy makes so much sense! I found Dr. Berry a few years ago and now I'm grateful for another mentor. I'm 77 years old and love discovering confirmation of thins I've always believed!

[@nabkawe]

I'm 34male living in the middle east, I started watching you a year ago, I was 160.5kg when I first started, I'm now at 133.5kg a year later, all thanks to the excellent information about carb addiction you provided. Thank you. Edit: Added KG to the numbers

[@robertcywes2966]

Fantastic. Great job!

[@kellya9050]

Which video was that? Thanks. :)

[@amyk6028]

And I wait, patiently, for The Carb Addiction Doc’s advice… Thank you for giving us your infinite wisdom!! ❤️

[@charliesgrumma5388]

2 years carnivore/ketovore. 1st 6 months I noticed I got sleepy near dusk and I started to wake up at about 5am. This lasted about 6 months. I now go to bed at dark, fall asleep quickly and wake up after about 4 hours. I usually lay in bed and watch some late shows and after a couple hours I will doze back off for another 3 or 4 hours but I haven't been able to sleep for 6 or 8 hours straight for a long time. I've been told prehistoric man only slept for a few hours at a time to keep from being eaten by another predator. I'd like to believe that and think that is what is going on with me. I don't appear to be suffering from lack of sleep. I do OMAD usually somewhere between 1pm and 5pm and my goal is to flatline my glucose by eating as close to zero carbs as possible.

[@TONYRAZZO77]

T1 diabetic. IF/Low carb/carnivore. I started splitting my lantus into 2 doses 12hr apart. 2/3 daily dose at 8am 1/3 daily dose at 8pm. Has really helped me get that waking glucose numbers down.

[@jeniferjohnson374]

Dr. Cywes, you are the most interesting and intelligent Dr I’ve seen on KZbin. Thank you for sharing your knowledge with us.

[@jksinorbit]

If you are eating correctly… carnivore or keto with enough fat you can eat early ( i eat at 5:30 - 6pm) you will be satiated enough not to even want to snack HOWEVER even before i went ketovore i took a few weeks to develop the WILL POWER to not snack after dinner ! Will power will play an import role in breaking your carb addiction so best you get practicing.

[@GramJujitsu_Carnivore]

I apparently lost my will power😞. I tell myself every day, I can do it. Then I snack again. I will work harder.

[@julianscholz5842]

By far the best health channel at KZbin. The content is really live changing. It really opened my mind and gave me a lot of answers to questions I didn’t think of before - but should have concerned me. Thank you so much! Best regards from Germany.

[@dirkmoolman]

I love this video. I'm sharing this with my South African group.

[@FRUIANDISES]

When I started a low carb + IF lifestyle, (no medication) Right at the beginning, my morning blood sugar was in the mid 70's Then, as I got used to it, the numbers started creeping up to the high 90s. I tried EVERYTHING you could imagine. I even started 48hours fast. It got worse. The day following a 48hour fast, I would get a low 100. I even started metformin. Didnt work at all. I walked 10 000 steps straight it just barely reduces. (I dont even want to use the word drop because the difference is so minute) Then. I tried the opposite. I started taking my main meal early in the morning. And then just a small snack at noon. And another minor snack in the afternoon and baaam ! Back to the low 80's in the morning, even WITHOUT exercise, without the 10,000 steps. I prefer to start in the 80's because even after a low carb meal, it just barely raises (post prandial) and then, throughout the day, it stays pretty low (below mid 90's). I feel much more comfortable with that But when I start with that effin dawn effect. It just barely bulges.... stays high even with exercise and/or lonnnnggg IF. Its a nightmare. So now, I start my day with a good satisfying breakfast. Burn that food throughout the day. Last meal (snack) by 3pm and go to bed light and healthy.....

[@yelenaangeleski3354]

Interesting. I'm insulin resistant and my experience is quite the opposite in some respects (not all). Like you, I've noticed that my blood glucose levels are higher now, a few months into the low-carb way of eating, than right at the start when I switched to it. However, my post-prandial bg now rarely goes over 100 and is consistently in the high 90s!

[@FRUIANDISES]

@@yelenaangeleski3354 yes my post prandial never reaches 100's But I mean... I used to stay low 80's before and with dawn effect i never reach thosd 80's and stay around the 90's at all times

[@edgardodelgadolebron]

hi, your keto breakfast is like meal?, vegetables, meat, etc.? At what time?

[@Satriana717]

After 21 years in the pre-diabetes stage, I recently discovered that my A1C is 6.9. Sometimes my morning glucose is 7.9. If I have insulin resistance, why is my glucose 5.0 one hour after eating?

[@carpenterxl5999]

I love your no bones about it attitude in your talks. No tip toeing around the matter. Shows genuine care and concern. Thank you for being who you are ie.. Not fake.

[@njsongwriter]

So how to I get my morning glucose readings down into the 80s? Per your video at the 7:00 mark. My A1C is fine but on occasion morning glucose is 116 and has been as high as 122. I'm 76 and have been LCHF for 2¾ years. I take zero meds.

[@richardwagner8853]

Congrats on 204 episodes! You have done a lot for Nutrional science. I think your Achilles heel is explaining your caffeine addiction. I believe it is not just a casual thing as you want us to believe. You can boast that you get only 4 hours of sleep a day but prove that it is not directly related to your caffeine addiction.

[@JN-or1zr]

I have done that experiment several times before, quit coffee for a month for example. First few days I sleep a bit more and then it's back to the same amount as with coffee. Reintroducing coffee doesn't seem to have any effect. That's only n=1, but personally I haven't seen any difference.

[@richardwagner8853]

@@JN-or1zr Thanks for the comment. I plan to give up coffee as a new year's resolution but scared that like Dr. Cywes, I will be giving up my best friend.

[@JN-or1zr]

@@richardwagner8853 it's doable for sure, just need to fill the hole with something else, especially in the beginning. Same was when I quit smoking, I had to engage my mind on different things, I ended up taking fresh-air breaks and then walks if those didn't get rid of it. You can do it and you will be better off without that addiction. 👍

[@DK-pr9ny]

Good stuff mate.

[@dreamingrightnow1174]

This idea about using food to induce endorphin release is very interesting. The most difficult aspect of time restricted eating for me has been breaking the urge to eat in the evening, but you're the first one I've heard to say a solution could be eating later. So this leads me to the question of the effect of late eating on adequate sleep. Are you of the opinion that having food digesting in the stomach too close to bedtime is not going to adversely effect sleep?

[@najwa5310]

Great video! I would love a video about gestational diabetes, how to best control it, etc. I went through 2 GDM pregnancies. 1st pregnancy my fasting bloods were 0.2 over the recommended amount. However my response from the glucose drink was fine. They diagnosed me based on me being 0.2 over. I followed the hospital's carb loaded diet. (I followed keto prior to falling pregnant but I wasn't sure it was safe to continue whilst pregnant - was still learning) by following their diet my sugar levels were out of control. They put me on insulin. Took it for a few days. Decided to do my own thing. Stopped the insulin and continued low carb. My sugars were stable. They all thought I was so crazy by not listening to them. One midwife made me cry at the appt because she belittled me. 2nd pregnancy I refused the glucose drink because who drinks 75g of glucose. So they just treated me like I had GDM even though no proper diagnosis. However I couldn't keep my fasting levels down. I tried everything. What are your thoughts on this topic? Thanks from Australia

[@brittanywallace2369]

They think I'm GDM. I passed those stupid sugar test every time but I knew something was going on in the background. So this pregnancy I started taking my blood my daytime is fine but it's the morning one that shoots me in the foot. She tried to tell me to take more carbs. I was like no way! She didn't even know what the dawn effect was.

[@Kay-pq1uo]

What have seen is for ‘women’ to eat earlier like 9-10am and finish by 4pm. I don’t snack in evening.

[@jaszczomb916]

Awesome video, I've just watched it once more time after buying cgm. But for me eating diner early is not a bul**t, since it's not only about glucose levels, but also to allow the body to digest everything before getting to bed - I've found much better sleep/recovery and fixed reflux issues after 20/4 IF so that I end up eating at 4.PM

[@macchin9421]

Thank you! you are the only one solved all my questions in one video. like why I eat late even with a very small meal, my blood sugar stay high all the time when I am sleeping. Why there are slight drop of blood sugar and then keep raising at 5am even I am fasting for 36 hrs.

[@liddlemountain7245]

Thank you so much for this! The most clear break down of whats going on.

[@MrBDezno]

Wow. I was just talking to someone yesterday about the fact that when I wake up I often feel immediate anxiety and my heart pounding a bit and wondered about dawn effect (but I only knew about the increase in blood sugar, not the rest).

[@TommysPianoCorner]

My experience is that my sugar continues to rise until I eat. If I have a fasting blood test, it can easily get to 7+ even if I take a 30 minute walk to the clinic. I read many years ago that there was a feedback loop from the stomach to the liver to say ‘I’ve eaten, no more glucose needed’. In my case this seems to be true. Over 10 years now with T2D, all of this on ‘low carb’. For many years, keeping my carbs to (mostly not always) 20g or so per meal kept my A1C in non diabetic range. Following a liver illness, I now need to keep below 10g to get the same effect. However, in all these years my fasting glucose has always remained high.

[@kathrin9674]

I experience the sam!

[@suzyjackson5514]

This is the best information on this subject, I believe I understand the dawn effect now. I quit having a glass a wine in the evening and snacking through out the day. I do eat a egg or a bite of protein 1 hour before I go to bed and I have been waking up with lower glocouse numbers.

[@Fefe559]

there is different advise on this subject. but you say you are a carb addict AND I AM TOO!! So I am going to listen to another addicts medical opinion. thank you

[@markiangooley]

I’ve been a type 1 diabetic since 1970 (and Dr. Cywes’ patient for a year). For me, dawn effect varies from small to huge. The rise in blood glucose can start well before I wake, no matter when I awake. I almost always need fast-acting insulin. If the dose is excessive I can get hypoglycemia that often reverses itself once the insulin starts to wear off; if the dose is too small I might need several shots (I wait at least an hour between shots). The supply of glucose sometimes seems endless, though this could be partly from delayed digestion due to gastroparesis. It’s strange to see blood glucose rising again and again between shots despite my not having eaten for over 12 hours.

[@tealelliott3870]

Me too! I'm carnivore and some mornings I'm at 85 and some mornings I'm at 200. Infuriating.

[@dreamingrightnow1174]

I'm curious why you're not on a pump? Forgive me if that's ignorant. I was under the impression virtually all t1d are on pumps now..

[@tealelliott3870]

@@dreamingrightnow1174 I've been on a pump 21 years but a pump only does what you program it to do. My doctor told me not to use the closed loop auto function because I control my blood sugars better than the pump but I still get a huge variety of morning readings.

[@musicofnote1]

Hmmm - I'm 71 years old, 105kg (since 2018), 188cm. First diagnosed with idiopathic peripheral neuropathy in 1999, twice reconfirmed in 2013. First diagnosed with diabetes Type 2 in 2014. Breakfast at 7.30 consisting of some thin sliced meat (not salted, no preservatives) and cheese, total

[@bobeldredge282]

Thanks for answering my question about the dawn phenomenon! Bob the welder.

[@peterpowell6168]

thank you for topic just what i needed to hear, i look forward to cortisol next video, trying to understand what it is! happy healthy trails

[@guitargeeknwa]

Thanks for covering this topic sir! Wonderful summary that tied together several disparate pieces of knowledge. Best regards from northwest Arkansas

[@theropesofrenovation]

Took me a while to figure out. High in the am and lower in the evening. Go figure!! 103 in am and 89 later on.

[@melindajean5452]

Since eating ketovore my dawn effect is less. And since my A1C is back to normal I only check 1x a day now.

[@romeo7smith463]

So , what im hearing is eat later at night not earlier and delaying or skipping breakfast and exercising in the morning. Im an RN, trying to help my husband with this dawn affect, its very difficult to get his fasting sugars below 100, yet during the day he gets excellent numbers.

[@N1976DL]

Great explanation!

[@AMERICAFIRST54]

In one video you say the "Dawn Effect" is only experienced by diabetics. My last meal is at 1:00 pm it does help my glucose levels the following morning.

[@williamodell8634]

What a great video, I will put this information to work in the morning. Dawn effect has always been a big variable at times. Thanks for the info

[@googlefriend8410]

I use a CGM and a 90 day pattern shows very clearly your body's daily Dawn Effect. I do intermittent fasting also, doing OMAD or that with a healthy snack within the 18/6 window. Is there such a thing as being in fat burning mode too long or do we need the body to express metobolic flexibilty as a daily routine switching easily between fat burning and carb burning (telling the liver and pancreas when to store fat and when to use energy and from what source to get it from).

[@travisgolder3649]

Thanks for this information. Pretty funny I watched after waking up at 4.30am, (at Dawn in Australia East Coast)

[@pattyperry6991]

What about early morning coffee? Does that prolong the dawn effect?

[@CocoFirenze]

Thank you for such great content, I'm learning so much! Heard you on Keto Kamp today. The way you explain things makes it so easy to understand

[@watcherworld5873]

Thank you for another useful video. It called into attention that I am still insulin resistance since my dawn effect lasts many hours.

[@Thefitty]

*what if youre having this dawn effect around 2-4am in the morning and you cant seem to get back to sleep? I hear this happens with some people doing high protein?*

[@rontiemens2553]

Might not work for everyone but when dawn effect hits me at 3:30 in the morning I go ahead and get up and get some work done. My garage hasn't looked this good in a long time.

[@Thefitty]

@@rontiemens2553 wow, sounds like it was a good time for you to clean and organize! This doesn't work for me.

[@maribelquesada5651]

I’ve read we shouldn’t fight to get back to sleep, we should get up and do something

[@KCCAT5]

I have found that I still get the dawn effect even though I have successfully brought my diabetes under control I no longer take medication I don't have to test every so often but I have the dawn effect in the morning and I found that it'll last until I have breakfast and then after I eat it like kick starts my body into motion and after breakfast within an hour and a half my blood sugar goes down

[@joannazaras8144]

Unfortunately I am not productive in the morning. I cannot wake up. Could you create a video on how to get up early, please? I sleep at least eight hours, but I cannot wake up at 5 am.

[@metabolicentanglement6303]

How about coffee? Does coffee prolong the dawn effect, or does it makes it shorter?

[@davealan2541]

Did'nt know about dawn phenomenon before testing my level. Found fasting 105 and got worry next day checked it was 110, next day it was 108. I checked in the middle of the night, it was 90. Wake up before sunset it was 88. Checked after sunset, it was 112. My routine was to go for 3 miles (7000 steps) walk with 4 pounds dumbbell in each hand before breakfast. Come back and check glucose it was 105 compare to dawn glucose level of 104. Take breast and check glucose after an hour, it was usually 126 to 130 after the breakfast. Usually, glucose return back to 85-90 in 3-4 hours. Talked to my PCP and she prescribed me METFORMIN 500 mg in the morning. Started taking and changed my routing breakfast with MEFORMIN and walk for an hour as usual. Don't see any change yet after taking 5 dose of METFORMIN. Still glucose coming to normal after 3-4 hours after the food. Dawn phenomenon continue. i;m 68 and 154 lbs.

[@davealan2541]

wake up before sunrise not sunset

[@blsbash]

ive been lifting weights every morning most of my life... it never brings my dawn effect down. Only carbs+protein do and i cant eat it too early. Im up at 4-5am and bg is 120-140. If I eat carbs/protein post workout between 8-10, my bg is under 100 by noon. if i skip bfast or have my meal too early... my bg stays elevated 115-125. Thoughts?

[@kellybain9261]

Type 1 diabetic - when I exercise in the AM, I am experiencing heightening blood sugar levels (weight training). I am 36 yo female and lifting heavy. Thoughts?

[@allisonlorene5056]

I've been trying to only drink tea in the morning but I was getting too hangry and couldn't concentrate on work. So I've been eating a few nuts with my tea in the morning until lunch.

[@petercyr3508]

I disagree that ketosis goes away with pronounced dawn effect. Glucagon tells the liver to make ketones too which it happily does if you are fat adapted. Bikman explains this well. This morning, my BG was 134 rising to 158. BHB is 1.1. Glucose and ketones are both forms of fuel stimulated by glucagon. Also if you are fat adapted, your body will burn more fat and ketones and less glucose compounding the high BG when the insulin resistant liver makes/releases too much glucose.

[@keylanoslokj1806]

Can you explain what you mean

[@Bass.Player]

Exercise at anytime reduces circulating glucose. (At least in me)

[@bouffon1]

Farmers and other manual workers will get up early, take a coffee and go work for an hour or two, ideally coming back home to a breakfast. I go run for 30 - 60 minutes most days and don't take kindly to be told not to eat breakfast afterwards. As an employer I could see that those whose first meal was at midday were of little use in the morning.

[@venkateshakrishnappa2445]

Excellent sir

[@maureenvenables9766]

Awesome video. I did not understand dawn effect...now I do.

[@i.gharib-huber9164]

In the morning I have 6.9 or sometimes 6.1 and afternoon I have 5.4 before eating so I have this Dawn effect too but I think it is actually a good thing, exercise after u wake up ur body will profit a lot from it, use this boosting sugar effect in the morning and everyday will be better

[@venkvelaga]

Not OK. He mean s it's OK for going from 4.6 to 5.5 mmol/l in the morning. You have beginnings of diabetes. 6.9 is equivalent of 124mg/dl

[@davealan2541]

4.6-5.5 is no longer dawn effect. dawn effect to my understanding similar like you have eaten breakfast @@venkvelaga

[@_Mikekkk]

My morning sugar today was 4.9 :).

[@arroyobaby38]

I just subscribed to your channel. Loving it!!! Binge watching them so I can catch up. I have a question... when someone who's on KETO /LOCARB for a while decides to go off KETO/LOCARB will their sugar spike higher than the average person who's NEVER BEEN on a KETO DIET? If so, is it because their bodies have been so used to not eating carbs that any carbs they do consume to their diet will spike it higher than someone who's never been on KETO before? And again if the answer is yes, will it ever balance out where you don't get those crazy spikes? Thank you for your response. Loving your channel.

[@OllieSmiless]

Would love an answer to your question as well.

[@Spartan21blue]

Thanks for posting Some good pointers here , to be sure

[@danielkuntze2370]

Hi Doc! I’ve been hooked on your channel for about 3 weeks now, great stuff! I cannot seem to find the video on cortisol u spoke of. Is it out yet? Keep it up!

[@lisam5128]

Thank you for explaining this!

[@lukefarmer5391]

Well explained, thank you.

[@thenutritiondoctor3229]

I switched from keto 16:8 to Carnivore ( zero carbs) 18:6 with amazing wt loss and sense of well being but my fasting glucose has gone from 80 to 100. Ben Bikman thinks its a glucagon reaction to increased protein in some people and is not unhealthy

[@kats1978]

So what should I do when my blood sugar is higher than 250 when I wake up? I’m so lethargic to do anything due to being hyperglycemia. I take huge amounts of insulin plus exercise at night and it stay normal(110 to 130) until 3AM. It’s normal for any mammals yet don’t know how to deal with it.

[@FastOilPainting30]

What do you do when you have insomnia

[@Desmond8709]

It does help, and thank you 🙏

[@katewolfhill9910]

What about Dr Panadas research studies in early feed windows? So eating to support circadian rhythms?

[@anonymoususer7606]

I am waking up at 3:00 AM. My CGM says that I have a hypoglycemic event and then my blood sugar shoots up about 124. I have been trio Tito for over a year. I want to see it 4.9. I can’t go back to sleep. I should try pushups and then maybe I can go back to bed?

[@alanandjess7516]

Just the topic I was waiting for. My dawn effect is really high. Has risen to nearly 9mmol and it made me feel really crappy. So I eat a little something and I feel much better as bg drops. 5 months of keto and I'm feeling better as time goes by in respect to this. I'm not hungry in the morning but just eat to stop myself feeling like crap. I'm 2mad but can only really do 12/12 at the moment. When I drink alcohol pretty sure I get somogyi effect also... Still trying to learn. Great video many thanks..

[@alanandjess7516]

BTW my tipple is bacardi and coke zero. I know coke zero drops my bg alot, which is kinda good but I'm guessing it's raising my insulin? So bigger picture lowering insulin resistance coke zero isn't going to be good from my understanding? Yeah I know alcohol isn't the best but I'm human and its going to happen.....

[@haifaqusos9042]

why uric acid level does not go down with insuline resistence inspite low carb eating

[@atcpilot4life]

Does this affect blood pressure too, or is it independent?

[@robertcywes2966]

Yes it affects blood volume and pressure

[@sharonholmes6083]

,@@robertcywes2966, Thank you! That is good to know.

[@cherrobbs2810]

What about I.F. and muscle wasting? I'm thinking of Steve Phinney's work.

[@joellenduran8289]

Fasting b.g. isn't bad...then just keeps rising, no matter what I drink! I have fasted many times waiting for it to come down before I eat. If however, I eat, the earlier I do the faster it comes down?? If having high blood sugar is bad, why would I not try to bring it down as fast as I can? Not really understanding this. Please help.

[@staciebrown9058]

Wondering the same

[@WadmanP]

Can a bout of hypoglycemia the previous night exacerbate the dawn effect blood sugar spike the following morning?

[@CherylSweetBailey]

would taking adrenal support or cortisol support in the evening be something that you believe would work to help with this? or between 2-4 take some berberine/ etc

[@julietaba]

Thanks

[@thetrubeedog]

my numbers starts rising at 6am from 90 to 150 by 10am its very disappointing to me. my doctor wants me to take more metformin

[@banjobandasan3725]

well said

[@colleenhall44]

So wise!

[@mrsniffwell7736]

I am type 2 diabetic. My BS continues to rise after waking. If I exercise, it just keeps rising. So, I should still exercise and take a little insulin to bring it down before eating?

[@ishnualah]

hi Dr. I have very frequent dawn effect/phenomenon in the morning where my blood sugar level is around 6.0-6.9 at a fasted state. do you recommend to continue fasting till lunch? will this affect my blood sugar level later?

[@deberebor]

The biggest concern my doctors (and I, to some extent) have since I have been on carnivore (a year and a half) is my big a1c increase. I used to have a morning sugar of 99-101 and now I'm looking at 124-127. I wasn't worried about that and closed my ears to their concerns since I was aware of the dawn effect. However, my blood sugar just doesn't come down much during the day. I can do a walk for a glucose burn a few times a week but my chronic fatigue can make that undoable every single day (I'm trying, though). The blood glucose level can come down to 110 after a walk but goes right back up to the 120s. Now, I can be patient with that, knowing it is normal and will normalize evenutally. However ... I don't actually know (yet) if such a high sugar is normal or acceptable in the long run. Will this sugar affect my eyes? my other organs? Is there a benchmark for when I need to freak out? I'm pretty good at forging a path, and my docs are supportive but they don't know about this stuff in great detail. I suppose I am very insulin resistant, but don't know if there is something I need to be doing (I am already zero carb for quite a while).

[@MsTony1402]

Such numbers would worry me but I’m not a doctor. Were you a diabetic going into carnivore?

[@FRUIANDISES]

When I started a low carb + IF lifestyle, (no medication) Right at the beginning, my morning blood sugar was in the mid 70's Then, as I got used to it, the numbers started creeping up to the high 90s. I tried EVERYTHING you could imagine. I even started 48hours fast. It got worse. The day following a 48hour fast, I would get a low 100. I even started metformin. Didnt work at all. I walked 10 000 steps straight it just barely reduces. (I dont even want to use the word drop because the difference is so minute) Then. I tried the opposite. I started taking my main meal early in the morning. And then just a small snack at noon. And another minor snack in the afternoon and baaam ! Back to the low 80's in the morning, even WITHOUT exercise, without the 10,000 steps. I prefer to start in the 80's because even after a low carb meal, it just barely raises (post prandial) and then, throughout the day, it stays pretty low (below mid 90's). I feel much more comfortable with that But when I start with that effin dawn effect. It just barely bulges.... stays high even with exercise and/or lonnnnggg IF. Its a nightmare. So now, I start my day with a good satisfying breakfast. Burn that food throughout the day and go to bed light and healthy.....

[@MsTony1402]

@@FRUIANDISES I’m all for lowering ones carb load but sometimes I do wonder whether not giving our bodies any carbs (such as carnivore) is going too much in the opposite direction. I’m a T2 diabetic and got off Metformin about 2 years ago with an A1c of now 5.2 on about 40-50g carbs a day & daily 18:6

[@JN-or1zr]

@@MsTony1402 that's a good question. By the IR comment I do assume (pre-)diabetic, so ... would need to know more data to even guess what might be going on.

[@robertcywes2966]

Watch my ketopendulum video

[@sherrycooper1439]

God I Love You Doc !!!

[@biswa004]

i have dawn effect to 120 130s but if i exercise go walk up a hill it goes up 10-15 points. idk why

[@MaryGreenleaf]

so how high should the sugar be in the morning in a metabolicaly healthy person? I always hear of dawn effect but never get something to aim for. noone tells me numbers...

[@dietitian.kelseythomas]

[@MaryGreenleaf]

@@dietitian.kelseythomas Thank you! I must have missed that one!

[@johncroasdale2748]

Thanks for a really 'lekker' channel. I have been on a carnivore diet for 3 weeks and have started getting cramps in outer calf and foot muscles on both legs. It starts about 4.30 to 5.00 am. It forces me out of bed and within seconds of standing I am ok. Would this be a symptom of what you have been discussing?

[@robinmartinez4749]

Hmm. Very nice video, Is there such a thing as Glucagon resistance?

[@jorgecarrejo]

When I am eating.. I have the dawn effect.. I have no dawn effect while extended fasting.. I'm on day 8 of no food.. And zero rise of sugar.. (I have a continuous glucose monitor) Why?

[@jackiemayo2]

What is the best time of day for lab work?

[@philthompson1097]

No numbers? In many healthy people this effect is negligible, less than 5 mg/dl, hardly a significant increase in fuel availability.

[@barbsdee3831]

What breed of dog have you got? I walk my 2 dogs but after my coffee

[@staciebrown9058]

Doc I am really so very confused & concerned at this point and could use your guidance. I have been on a keto woe for 14 months now and for the past 4 months I’ve been more Ketovore. My fasting glucose has been on the rise. Lately when I check it, I’m at 130-133. Seems I must have something with natural sugar in it to get it to regulate back down. If I have homemade yogurt for example, and check it in 2 hours, I’m at 113. My A1C was checked recently and I’m at 5.3 I was gestational diabetic with my first born of 3 children. I’m trying to prevent becoming diabetic. Anything you can suggest for me? Thank you!

[@kathrin9674]

Personally I'd say: listen to your HbA1c.

[@cetogenicaportugal8514]

So nice 🙌

[@BerniWright]

I am desperate I can't find the answer to my situation. I am 75 year old. I followed low carb for years and about 11 years ago went keto. Currently I walk 30 mins a day eat only 10 carbs a day in two meals. I appear healthy but my morning blood glucose today was 14.3 mmol or 258 mgdl. and it will be so slow to go down never very far. I understand this could be adaptive glucose sparing but it frightens me it is so high. I also think since I have been vaccinated for Covid it has raised my blood sugar, It has always been high even on insulin - which I stopped in 2016 but not so much as the last several months. I don't want to go on insulin which my doctor would probably want to do as it doesn't make sense to me to put more insulin when want I have isn't being used. I really don't know how to manage this. BTW fasting does not lower bg or exercise. Nothing seems to work.

[@ziphorampho8181]

Could my body possibly be addicted to the dawn effect? Hence I feel sleepy most of the time.

[@Eskargo11]

I would fully agree with this. I get low quality hypoglycemic sleep throughout the night and then dawn phenomenon hits me around 8 and I drift back into quality and restful sleep. The dawn phenomenon makes me super sleepy and give me a few hours of uninterrupted sleep. Not ideal but it gives me a few hours of deep rem sleep. Trying to shift dawn phenomenon earlier and earlier so I don't have to sleep in so much for quality sleep. In addition to keto and slowly becoming fat adapted of course to balance blood sugar.

[@chrisshuk3365]

Hi, Are you still working at UofM??? I am looking for a new Dr. And need guidance. Thank you

[@neopets4ever]

My readings were much lower when I woke up vs an hour later….am I not a mammal 😢

[@チェリーブラッサム-z9q]

How about a two minute cold shower and then a cup of black coffee first thing in the morning?

[@rubenproost2552]

With what dies one replace late evening snacks for endorfin

[@TerriblePerfection]

Meditation is super. 🧎‍♂️

[@Anthony-xt7im]

If cortisol doesn’t raise blood sugar than why does black coffee spike my sugar at least 45 points?